4573 Lake Park Dr. CASH RECEIPT •
CITY OF EAGAN
3795PILOT KNOB ROAD
EAGAN, MINNESOTA 55122
DATE 19
weccivEn
FROM
AMOUNT $ I
- 8 DOLLARS
?oo
? CASH ? CHECK
roR • ?
BY
h White-PaYers Copy
(,? Yellvw-Posting Copy
Pink-File Copy
Thank You
CITY OF EAGAN
« 3795 'ilat Knob Roed Eeqon, MN 55112
PHONEt 454-8100
BUILDING PtRMIT Re«ivt #
Ts 6m uwd fm 'j ?''
'' Est_ Value •4 .rI`;0• Date _
A i! 1{?•J•`O' 8798
T
r Y<1i:. UI .
Site Adqress 3 LcU:C
E?eet
(?}
Occuparxy
1
- -
lot Blxk SeC/$ub. ?"?' • /11ter ? Zoning
i. r0 030 01 k . I:.Y
Pa?? # •
Repoir
?
Ffre Zone :., : .
Enlorye ? Type of Consf.
ac Name Move
?
# Stori
Z _"Jo .`.., ey ." ?T?.. il??'?l.
Address
Demotish
? ?R
Length
t ,-:.,, t- ,_;I: e,,,,.,_ 454-1600 Grade ? Depth 4,0 Sq. Ft.
°C Name . _ _ _.. ....?- . ...._? v .
o? Address ?
" -?4 -1?'?0
o?,,,...
Name _
Address
I hereby acknowledge that I hove read this applicotion ond sfote that
the intormation is Correct ond ngree to tomply with all applicoble
Stote of Minnesoto Statutes and City of Ea9on Ordirances.
/lssessment
Woter & Sew.
PoHce
Firo
Erg.
Plonner
Council 12/3-3740.3
?
Bldfl. Off.
APC
Permit Surchorpe -
Plon check _
SAC
Water Conn.
Woter Meter
Rood Unit _
rotot ?1. "54. 50
Sipnoture of PertniKee
.. 1
_ . _ ..177 .
/1 Building Pe?mit Is issued to: on the express conAition thnt
011 work sFwll be done in occardonce wlth all oppliwble State of. 1Mlnnesoto Stotutrs and City of Eo9an Ordinances.
Buildinp Officiol
Permit No. Permit Holder Misc. Permit No. Halder
Plumbiny
H.V.A.C. r
w.eer w.u
Disp.
S?wsr
EMetric
L?
Inypection Date Insp. Other
Footinyt ?..?
Foundation
Fnminp
Rouph Plb¢
't-
i{-
Rouyh HVA
Inwlation
Final Pibp. /??2 1,3 ' 13 _?
?
Final HVAC
Final
watar Describe Location:
YYsll
Ssver 0
Pr. Disp.
;
y
C ITY OF EAGAN 11200
3830 Pilot Knob Rosd, P.O. Box 21-199, EsgBn, MN 55121
iW PHQNE: 454-8100
BUILDIN6 PERMIT rtece+Pt ?t
' T. b. wd fsr Est_ Velue i
??? ? IL,?.
Sfte Addreu
Lot Block SeclSub.
Erect
Parcel No. Repair
Addition
Move
? Name i ^ Demolish
Addreas Int Impr.
o Name
0-'
Address -
Citv
Phone
I hereby acknowledge thot I hove reod this ol
the information Is correct and agree to con
Stote of Minnesoto Stotutea and Citv of Eo
Sipnoturo of Permittee
A Building Permif Is lssued fo:
oll work sholl be Aone in otcordante with oll
Buildinq pfficiol
?
?
?
?
Occupancy -
2oning
Type of Const.
No. Storiea
Length
Qepth
Sq. Ft.
/lssessment Permit - ' ` • -'
' Woter b Sew. Surcherye 1-` •
Police Pian Revlew
Fire SAC
Enp Wate? Conn
. .
Planner Water Meter
ond stote thof Councll
Bld
Off Road Unit
oll oppliccble g.
. Tc Pt
wnces. APC
Parks
Var. Date Copiea
Total
on the express conditlon thao
e Stote of Minnesoto Sfatutes nnd City of EaQon Ordinantes.
l
Pwmit No. Permk Holdu Data T&lephon* ?
Plumbing
H.VA.C. ,
EMetrie
Softener
Irapeetion Data Insp. OthK
Footings 1 ?U ) $"
Footings 11
Foundatlon
Framing
Roofinq
Rouph Plbg.
Rouyh Hty.
Inwl.
Firoplscs
Final Htg.
Flnsl Plby.
Flnal ?
Cert/Occ.
Water ??ibe Loeation:
WNI
Sewsr
P?. Dlsp.
Receipt MECHANICAL PERMIT Permit No. CITY OF EAGAN
' Fee
Fi!l in numbered spaces S/C
Type or Psint legib/y Tot.
1. Date 2. Installation Cost % -t-
)
3. Job Address Lot ? Blk. Tract
.?
4. Owner z.:ziLt:[?? .
'? .
5. Contractor .._i i c-k- Phone
6. Address
7.
,
State Zip ?
,?,
8. Building Type: Residentia?•?'C?I Cammercial O Institutional O
i
9. Work Description: Ne Add O Alter O Repair ?
10. DescribaL Fuel Type
11.
No. Eauioment BTU - M. Ea.
Forced Air No. Eguiament CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech. Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
c-? Gas, Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
- for
Rough F inel
Inspections: Date Insp. Date Insp.
This is your permit when_numbered and approved.
Approved ' CITY lJF EAGAN 454-8100
?
PLUMBING PERMIT
CITY OF EAGAN
Fill in numbered spaces
Type or Print /egibly
Permit Na: ?
Fee -
S/C
Tot.
1. Date 12-9-51 2. Installation Cost
Lake Parkr 3. JobAddress L&_Bik. ; , Tract -l,a
4. oWner Steve Parranto
5. Contractor Wenzel Mech
Phone 452-1565
s. Address 3600 Kennebec Or
7. City EdadR State Mn Zip 59122
8. Building Type: Residential MX
9. Work Description: New J47
10. Describe
! 11•
a1-// - P3
Commercial ? Institutional ?
Add ? Alter ? Repair ?
No, Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
Bath tubs Septic Tank
- Lavatory Softner
Shower Well
Kitchen Sink
Urinal/Bidet Other $&W $21.00
Laundry Tray di shwasher
diSpOSdI
Floor Drains ,
water heater
Drinking Ftn.
Slop Sink
Gas Piping Outlets
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed : for
Rough , Final
Inspections: Date Insp. Date Insp.
This is your permit whe numbered and approved.
Approved CITY OF EAGAN 464-8100
J S
CITY OF EAGAN Remarks
Addition i,AKE PARKTDLLTTQNTShores Lot 3 Bik ? Pa i#1D?200 (L?Q1 -
ow?e? _ ":???. r;.:%, 4573 Lake Fark Drive agan? 55122
Street State
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. 1982 2529.52 0. 0 1011.82 A 013771 4-20-84
STREET RESTOR.
GRADING ? j,QLFQ. ]!+
SAN 5EW TRUNK
*SEWER LATERAL 5/ 3.. 4
14241 276
36 15 3037.77
.
1 .
WATERMAI N
*VATER LATERAL loRl
WATER AREA 4/31 1980 280- 00 7 5 186.70
S70RM SEW TRK 596.86
,yS70RM SEW LAT
CURB & GUTTER
SIDEWALK
57REET LIGHT
WATER CONN. 450.00
BUILDING PER. •
SAC t/ n
PAR4C
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pitot Knab Road
P. O. Box 21199 PERMIT NO.:
Eagan, MN 55721 DATE: ry` ?'
Zoning: No. of Units:
Owner: N'iaoe- 11 3e- D!
Addrexs:
Site Addrcsi,573 Lakc nart: ?:x' i,3 1?1 I.ab,:-? R'arlc !.c':c:n
Plumber: ?'?*1• rl ',IW.`:i: t- Heating
AAeter No.: Connectian Charge: " -.? • ?-
5ize: Account Deposit:
Reader No.: Permit Fee: - 10.00 Pc?
I a9rae to wmply wkb tha City of Ea9en Surchcrge: •5-0
GdinaAAtsc. Charses: 01
P ?
Tatol:
BY Date Pnid:
Date of Insp.: Inap.:
CITY OF EAGAN y`EtA?ER SERYICE PERMIT ?
! 3830 Pilot Knob Road
r P. O. Box 2 1199 PERMIT NO.:
Eagan, MN 55121 DATE;
T
?
{ ^ir+0: p ` No. of Units:
I pwrwr: PRrr. anto Bros
f Addr?
? Site
? Plum
?
?
? I.gree to oomPyr w&b Hie Ciy oF Eassn C.onnsction Chrnpe: 425.00 pd
' Ordlsonoea. Acwunt Deposit:
Pem,it F.e: n? d
su.d,arge: .50 n d
BY Misc. CFwrqes:
Date of Insp.: Totol:
Insp.: DoN Poid:
CITY OF EAGAN WATER SERVICE PERMIT
3830 Pilot Knob Road 2
P. O. Snx 21199 PERMiT NO.: 12 14 83
Eagan, MN 55121 DATE:
Zoninfl: RI No. of Units: -- -
q,,,ner; _ Parranta Bros
qddresSkS 73 Lake Park Dr IJ B L Lake Park Addn
FAetas No.: Connection CherQe:4Dv.vu pa
Siu: Acc+ount Deposit:
Reade. No.: 1? 1-0 9 i a. Permit Fee: 10.00 Pa
1agese to oomPip wftb tM City of Eoyss Surcharye: .50 pd
Ordina Mtsc. Chorpes: 60.00 pd ?
Totnl:
aAl"
8?
Dats Paid:
DaRe of lnsp.: ' / ('-, " lrqp.:
CITy pF EAGAN In?lude 2 sets of plans ,?7 ? O
1 site plan w/elevations &
_ ?
' &JILDING PEI?7.iT APPLICATION 1 set cf energy calcula ons.
rno BE: usaa rror W G &00, valuatiorf DarQ 83
Site Fddress yS ? 3 Zi4l?=P cK l?- ' OFFICE USE ONLX
/?11CE K E1 d 14,
tot ? Block Sec./Sub. EYect 7L- OccuPan?Y ..-.-
n??i #: 3a A1ter Zoning
Repair Fire Zone
Owner: S7??U?/t? "C ?-?4e _ TYPe of Const.
Nbve # Stories
Acklress: Desmlish Front ft.
City/Zip Code: Grade Depth ft.
Phone #:
Contractor: P???InIle P s &Ue? ?
Address: 31Od' SF/,3Li'?l !7'1(277V1 IdC.vd
city/zip Code: I4 GYfuJ /VIIV- 5-S-(2- Z_
Phone #: ?S-S' /f?60_
Arch./EYxJ.-
Address:
City/Zip Code:
Phone #=
?4ater/Seaer
Police Surcharge s 7 y
Plan Check?
Fire SAC
gg , Water Conn. ?(S-z)
Planner Water Meter 217?
council Roaa unit
Bldg. Off - -
AFC
)V'IJ"g`3 'qse
TOrPS, /i S? 5 q- S O
CITY OF EAGAN N? S7O8
9795 Pilot Knob Raad Eagon, MN 55132
PHONE: 454-8100
B4ILDINCa PERMIT Receipt # C?L /7?-
ro 6e wae rw SF DWG/GAR en. vei.e $ 74.000. oate Decenber 14 ,0 83
SiM Address 4573 I,a1ce Park Dr.
Lot 3 Block 1 $ec/Sub.
Porcel # 10 44200 030 01 Iake Pk. Add.
rc Nome Steven J. Parranto
9 z Addreu 3908 Sibley Mem' Hwy^^
p Nome rcutcuaw c??w.
'cu 3908 Sibley Mem. Hwy.
?? Address
t- r... Ea4an ok...,. 454-1600
Ncme _
Address
I hereby ocknowledge that I have read this applicotian and stote that
the inlormotion is wrrect ond ogree to comply with nll applicoble
Stafe of Minnewta $totutea ond City of Eogan Ordvancet.
$ipnafure of Pertnittee
A 8uilding Permil Is issued to: PaLYan?O ASSOC?
oll work shall be done in accordance wlth nll opDiicabla State ofA .
Erect (N pccupanty
Alter Q Zonirg RI
Repair ? Fire Zone N/A
Enlorge ? Type of Canst. V
Move O # $tories
Demolish ? Length 48
Grade ? Depth 4$ Sq. Fi.-
Approvals Faos
Auessment
Woter 8 Sew.
Police
Fire
Erq.
Planner
Council
Bldg. Off.
APC
Permit 9 307.VU
SurcFwrge 37•00
Plan check 177.50
SAC
WaferConn. aso_oo
Water Meter 60.00
Roud Unit 250_00
Twol $1 854.50
on
express CondiNan Ihnt
gan Ordirqnces.
Buildinq Offidol
CITY OF EAGAN N°_ 'I 'I Z O O
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDINGrPERMIT PHONE: 4548100 eeceipt # 7/
Te M 5nad ier GARAGE ADD Est. Value $Z • 900 pate NOVEMBER 1 19 85
SlteAddress 4573 LAKE PARK DR Erect ? Occupancy
L
Lot 'I_ elock 1 Sec/Sub AKE PARK SHOREgemodel ? Zoning
.
Parcel No. Repair El Typa of Const.
AtldRion ? No. Stories
Name DENISE KECLER
W
Move
?
Length
Z
2 Addrest $AME Demolish ? Deptn
b Int Impr. ? Sq. Ft.
City Phone Install ?
o Name TIBERON INC AvC?ovoh Faes
t
"
s Addresa--3908 SIB MEM H WY Azsessment Permit $38 50
? City Fj1GAT Phone 4 54-1600 Water85ew. Surcharga 1.50
tW
Name Police
Fi
?-V,
Address ra
E
nq.
'W City Phone Plonner
Council
I hereby acknowledge that I have reod this opplicotion ond stote thof gldg. OSf. lO/lB/
fhe informotion is rnrrect ond o ree to mply with all opplicable
State of Minnesom Statutes Gty o g Orduancea. APC
Var. Date
SlprroWre of Permitt A Building'Permif is issued M: BERON INC
all work ahall be done in xmrdonce with oll ,a-?d!??tablan5Bulldinp Ofticlol la(I I}?fl
Plan Review
SAC
Water Conn.
Water Meter
Road Unit _
Tr. PI.
Parks
GOples
' Total $??
on fhe express conditlon Ihot
$tatutes and Ciry of Eapon Ordirwnces.
tL- /t. REQUEST FOR ELECTRICAL INSPECTION ?s-oouoi.oa
' See instrucbons for comoleting this torm on back of Yallow copy. ??
"^"X" Below Work Covered by This Request 40 yi y
MevAAdtll Reo.l Tvoe ol 8minma 1 Aooliences Wired 1 Equipment Wiretl t
I I I I Apt."Buildinq 1 I Drver ` I I Electnc Heatuia l
I I I I Commercial Blda. 1 I Fumace 1 I Silo Unloader I
Air Condrtioner
k Fee ServtceEntranceSae 4 Fee faxders/SubfeeAers p Fee Cucuits
0 to 00
qm
s 0 to 30 qm i 0 to 30 Am os
Above 2
00
qmpsl 31 to 100 qmps 31 to 100 q y
Swimmin Pool Above 100_Amps Above 100_Amps
Transiormer5 Irrigation Boorcis P'r.rtial.'Other Fee
JIgnS Special InSpeCLOn
Hemarks . $10 .50 TOT E
i? ~ )
Final
in
I, the nwl
Inspectoq hereby
cerLty thal the nbove
Znspecbon hes baen
This raquest void
18 rronths trom
_4
/L-/b -F'3
6/
?,?/o. o 0
?a k? P/e. ? ?O41y
nequest unte Fi?e No. Nough-in InspecNn [ion
Pepuired? ?Raatly Now ? Will Nnvty Insoec-
?q 12-15-83 ??es ? to, WhenReady
u L,censed ElecVicai Canvactor I hereb
y request tnspection of above
? Owner electncal work mstalled nY
Street Address, Boa or Route Nn. Cny
4573 LAKE PARK DRIVE EAGAN
ecuon o. Township Name or Nn. Fange No. Counly
DAKOTA
OccupantlPRINTI Phmie Nn.
Power Supplier Addrass
Electncal ConVar.tor ICompany Namel nnVacmr"s License No.
LAKEVILLE ELECTRIC INC. A041802-9
Mading Address (COnVactor or Owner Makme Instailatfon)
20480 JACQUARD AVE. W., LAt:EVILLE, MN 55044
Authoneed iAnatu (COnt ac[or?0 er Making Installabun)
Phone Number
1 469-4939
MINNESOTp STATE BOAPO OF ELECTRIC7l?Y THIS INSPECTION REQUEST WILL NOT
Griggs•Midwey Blde. - Room N-191 V BE ACCEPTED BY THE STATE BOAHD
UNLESS PflOPER INSPECTION FEE IS
1821 Omversity Ave., St Pau1, MN 55104
Phnnw (8121 297-2171 ENCLOSED.
I f? ,P?/ REQUEST FOR ELECTRICAL INSPECTION
?' Sen instrvctions br comolebn9 this form on back oi yeilow copy.
11" Below Wak Covered by This Request
- EB-00001-94
N:
q0 952
Add RBp. Type of 6wltlhng APPbances WirBd EqmVmBnl Wired
X Home Range Temporary Service
Duplex Water Heater LiqhLnq Fixtuies
Apt. Bwlding Dryer Electnc HeaLn
Commeraal Bldy. Fumace Silo Unloader
Industnal BIAg. Air Condrtioner BWk Milk Tank
Farm oma. oeci yl ome,lsoe,.?fv;
t er SoeufY Other Othe,
Comuute lnspecUOn fee Below
tl Fea ServicaEnhenceSize b Fee Fexders/Subfeatlers N Fee Crtcwts
U to 00 Am 5 0 to 30 Am ps 0 tn 30 Fam os
Ahove 200 Am ps 31 to 100 Amps 31 to 100 Am s
Swinuning Pool Above 100-Amps Above 100_Am s
Transtormers Irngation Booms Partidl.'Other Fee
Signs Special Inspection 5
TOT E
Remarks 50 .5
E
?? ?
a.
Rough-m Elactn
? i'? ??spec oq eraby
cerLty t?at the above
Final inspecLOn has Deen
rV mada.
thie reaueat vaiE 18 monlns trom
This repuest void /-a Oo
18 months from
0,
1 ????1 l. 3 1 l.PtkE Pk. D ??-
A spxcL??n
Reque?st Uatt Fire o. floogh-in In
' Reqwredt [] fleady Now E] Wiil Noufy Insp.,
1-24-84 RY¢s ?NO [or When Reatly
Lwensed Elechical ConVactor I heraby request mspecbon of above Owner electncal work installed aL
Street AtlAress, Box or Route No. Gtv
4573 LAKE PARK DRIVE EA6AN
ecUOn o. Townshio Nnme or No. Range No. County
DAKOTA
OecupantlPRINTI Phone No.
ower SuOD,!er Address
DAKOTA ELECTRIC FARMI NGTON MN
Electncal ConVactor (Comoany Name) Contractor's Lwensu No.
2-
Mailine AdJress (ConVacmr or Owner Mabng I nstailaLOn)
20480 JAC UARD AVE. W. LAKEVILLE MN 55044
Authpnze nature ( hactn Owner i InstallaLOn) Phone Number
46 -4
MINNESOTA STATE 80APD OF ELECTRICITV v THIS INSPECTION ftEQUEST WILL NOT
Griggs-MidweV eldg. - Poom N-181 BE ACCEPTED eY TNE STqTE BOARD
1821 Universi[V Ave., St. Paul, MN 56104 UNLESS PftOPEfl INSPECTION FEE IS Pe,.n 16121 297-2111 ENCLOSED.
?}}I,,•,?x
J 7S 73 ?l4 /2LILl?%KpFl?K-'DS.Y'/r23 / / . .
rE:
Z. lt
HEATI NG CONTRaCTOR_j4 c,) p cLi n? Ce PHONE: b 14 23d' l
eUiIDING CONTRACTOR OR OWNEP'Trrn a Ic r Li.y/ PHONEt 6 ff "EcY
I
•* The baeic informstion beloW muet be eecertained from the energy caloulatione and plane
approved by the 8uilding Departmant for the atructure to be built. C/Qf, / Lfys-L)
•• 1. Sq. feet of exposed Wsll eree ahovs grede 8'(.) 01.Z3 7X3"
x"U" .oy B2 degrea dealgn Eemperatur
«• z. sq. teet of cailing area °u" ? tla
ze2.
3. Sq. feet of baeamant floor area /*X9 L x3.
4. Sq. feet of'Wall area belom grede_ yJV z6.
I
5. Lin. tt, ot lnfiltration for mindoWS x(.5)
x (1.08) x 92 dagreee.
5. Lin. f!. at'infiltration for doore x(1.25)
x (1.08) x 82 degreos.
7. Lin, ft. of infiltration for;?aliding door s-'
x(.75) x(l.OB) x 82 degraes.
B. Allomance Par kitchen end bath fana
kitchen fsns 0600 BTU ea.
-beth fana i200 BTU ea.
9. Ailomanea for tireplaces
' #24" to 32" v].#U00 BTU ea.
# ' -34" to 42^ 01,300 BTU ee.
42f' 3 larger a 19500 BTU ea.
10. Total 8TU loee for all above iteme
11. Add Por comhuetion air (SBC 7722)--(.001) x net loea above,
x(12,5) x(.075) x 82 degreea.
12. Add
13, Iqeximum increaae el2owable by SBC 6007-anawer above x 115%
Output size of furnaca ahall tall betmaen 12-13.
, ^2 L2S
'/
3
aa ?v
.t4"-rts" 777P
/00 o
3'?? 3
36
(Thie ie the size furnace you ahould uee ln thie etructureg the eode doea e11oW you
to uae the next eize eveilsble) providing thet appropriste equlpment ia not
readily available.
The undereigned, as applicent for a heating permito hereby effirme the above informa-
tion hae been preparad 6y snd/or for himaelf, or under hie dlrection= herehy
ecknowledpee the lnformatian to ba cotraet and accurate; and herehy presente thie
information with raquired plene in eupport oP the =eating Permit Application.
OateI I?? 3 /?3 Signaturet?-?y?_
. ,
-- - -• - -- - --
1999 BUILDINC PERMIT APPLICATION (RESIDENTIAL)
3? S cirir oF ??cnN
3830 PiLOT KNOB RD - 55122 10 c? Q,
651•681-4675 S - ?
New CansfiucNon Reauhemenh Remodel/Reoa6 Reau6emenh
? 3 reglstered sBe surveys showing :q. fl. of lof, sq. fl. ot house 2 eopies ol plan
and all roofed areas [20% maximum lot coveroae a0owed) 1 se1 of energy cckulaNons (a healed addHlons
D 2 copies of plans (fhow beam a window sizes; poured Ind. design; etc.) 1 sMe suney lor exlerlor addHlons 8 decks
D 1set of energy, catculaHons
> 3 copies of hee preservafion plan 9101 plaMed aHer 7/1/93
DATE: CONSTRUCTION C 5T: '9? ?
DESCRIPTION OF WORK: 'cQICe.C?P ??r ?Co?1012n'?
STREET ADDRESS: '1`0 ? Q L-0,A?- "l
LOT: 3 BLOCK: SUBD./P.I.D.9: \-'s? 0"C
Name:--K' keIZ Phone #: (4S4 - ztaS 8
PROPERTY Last Fkd
OWNER ?
Sheet Address: `?73 ? e ??ZA `?' L
City C.CC.GG ? StaFe: Zip:
Company: Su/Ge- CG CA Phone #: G I 2 Qct 7? 22-7 C-?
(area code)
CONTRACTOR
Street Address: 1a 5???/ CO? ST (A? License # ZOW ZZ S Exp. -?'?aUo
City l.l .vJ nI P?C?k?.--1 State: Zip; S S/ Z y
ARCHITECT/
ENGINEER Company: Name:
Telephone #: area code (
Street
City
Sewer i woter licensed plumber (reaulred fu new conshucflon onlv):
State:
PenaHy applies when oddresa change and lot change is requested once permN is issued.
Zip:
I hereby acknowledge that I have read this applicatlon, state MaF the IMormallon is coneet, and agree to compy wRh all applicabl
State of MlnnesWa Statutes and Cify of Eagan Ordlnances. / ?
Signafure of Applieanh`?/ / -Cti-?(-/n ( .[??
OFFICE USE ONLY P?ECEIVED
Certificates of Survey Received _ Yes _ No MAY 0 7 1999
Tree Preservation Plan Received Yes No _ Not Required - - BY:
Registration #:
4 4z
7985 BUILDING PERNIi APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED IiITH THE CITY OF EAGAN
COl41ERCIAL
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND 1'SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND ??
G(Ji7XI c.X?
SINGLE FAMILY DifELLINGS
INCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
Date•
/?'
?'-
? '?
To Be Used For: Cff&W. Valuation: 2900
Site Address %-5"-?73 44KCpARK 2,_,. f oF
Loc 3 bloox
Parcel/Sub ?Qk 5 NoQL=S.
Owner pb h1? SE F•Cecl..67p Address yS'L3?1 Y3?,/? p$r-i{
City/Zip Code j'"y3&-Y-l/? ,$'J r ZZ
Phone
Contractor =j[3L--f.0nJ /ivG
Address I 3Q0e n;84y m*-)n uwY
City/Zip Code L--WaY}n/ S-se 2.2
Phone
Arch./Engr.
Address
City/Zip Code
Phone U
Erect
? Occupancy
Remodel Zoning
Repair ? Type of Const
Addition jC
? ti of Stories
Move Length
Demolish ~
? Depth
Int.Impr. Sq Ft
Install
EEES
Assessments Permit 38•?
Water/Sewer "- Surcharge
Police Plan Review
Fire SAC
Engr Water Conn
Planner Water Meter
Council Ro d Unit
Bldg Off p_ - reatment P1
APC Parks
Varianee Copies y
TOTAL
1 ?
)
(U' ?
? ? K
1985 BOILDING PERNIT APPLICATION - CITY OF EAGAN
NOTE: ALL CONTRACTORS MUST BE LICENSED WITH T'HE CITY OE EAGdM
COt41ERCIAL SINGLE FAMILY DifELLINGS
INCLUDE 2 SETS OF ARCHITECTURAL
& STRUCTURAL PLANS, 1 SET OF
SPECIFICATIONS AND t SET OF
ENERGY CALCULATIONS
$2,000 LANDSCAPE BOND
ypLLIaL INh('C2.T104
To Be Used For: Wer BSMi. Valuation:
Site Address :?Gj13
Lot 3 Block ?
Parcel/Sub Ln4-l'E I/-k,?-K-
Owner
Address
City/Zip Code
Phone
Contractor
Address
City/Zip Code
Phone
Arch./Engr.
Address
City/Zip Code
Phone p
nate: 10' 4 •65
Ereet ?
Remodel ?
Repair ,
Addition
Move ?
Demolish ?
Int.Impr. '
Install
IAPPROVALS
Occupancy
Zoning
Type of Const
U of Stories
Length
Depth
Sq Ft
FEES
Assessments Permit
Water/Sewer ?
~ Surcharge
Police Plan Review
Fire SAC
Engr ? Water Conn
Planner Water Meter
Council Road Unit
Bldg Off Treatment P1
APC Parks
Variance Copies
TOTAL
12a I ? "R?-?? ,?- ?? ,4,'•?/
ZNCLUDE 2 SETS OF PLANS
3 CERTIFICATES OF SURVEY
1 SET OF ENERGY CALCULATIONS
110004 zoos RESIDENTIAL PLUMBING PeRnniT aPPUCATiont
CITY OF EAGAN 31550
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date Y I
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Site Street Address Unit #
Property Owner m l , -o ? Telephone #tp5oqILl
Contracto
1:?? T
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Address'-? State? Zip? 11L ,
The Applicant is: _ Owner ? Contractor _Other
Septic System _ New _ Refurbished Submit 2 sets of plans and MPC license Includes County fee
$ 100.00
Per as-built $ 10.00
Alterations to existing dwelling $ ?50.00,
_ Add plumbing fixtures. This fee includes installation of a water soitener.andlor water '• •'
heater at-the same.time.. !f you are installing onlv a water softener and/orwater '
heater, do not complete this section; move to the next section and check the
appliance(s) you are instaliing.
_Septic System Abandonment
_ Water Turnaround (add $130.00 if a 5/8" meter is required)
Other:
Water Softener _ Water Heater $ 15.00
_ new t- raptacemert
Lawn Irrigation _RPZ _PVB _new _repalr _re6uild $ 30.00
State Surcharge $ .5,0
Total $
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete and accurate; that the
work wili be in conformance with the ordinances and codes of the City of Eagan and the plumbing codes; that I
understand this is not a permit, but only an application for a permit, work is not to start without a permit and work will be in
accordance with the approved plan in the event a plan is required t reviewed and approved.
? - \ C?, `? hL?? e_2- 3? 2 . ?_
ApplicanPs Printed Name Appii nPs Signature
?
.
SIC3MA
S4.JRVEYi6VG
SERVICES
3908 Sibley Memonal Highway
? Eagan, Minnesota 55122
Phone (612) 452-3077
Scale : 1 inch = 30 feet
-N-
a Deno[es Wood Hub Se[
* Bearings Sho:an are based on
Assur.rd Da[um *
%9zg14 Denotes Existinq Spo[
E levati on s
CERTIFICATE OF SURVEY FOR:
MP. 8i MfS. $t@V@
Parranto
,4
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T.lc 0>x /
[,9z:.8] Denotes Proposed Spot Elevations
,,*v-'- Denotes Proposed Drainage i
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'yisiS
K -_f_?Sa
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.............
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-- N89°34321W 176.83°
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PROPOSED GARAGE FIAOR ELEV. 922.\
e ? ?+
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PROPOSED FRONT ENTRY ELEV. 924.0
PROPOSED BASEMENT FIAOR ELEV. 920.1 walk-out
I hereby certify that this survey, plan or
report was prepared by me or under my direct
supervision, that I am a duly Registered L'and
Surveyor under the laws of the State of
Minnesota.
l00", 0 A:%r-
Wayne D. Cordes, Minn. Reg. No. 14675
?ate: Uecember 12, 1983
Reu,sed: S6w GAflRGE AoO171oN
. , \
Aq? ? L.t/ 1 \i
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PROPERTY DESCRIPTION
Lot 3, Slock 1, LAKE PARK SHORES,
according to the recorded plat
thereof, Dakota County, Minnesota.
SIC3iVIA
SlJRVEY1NCi CER7lFICATE OF SURVEY FOR:
S E R V I C E S ?, A?Ors. Steve
3908 Sibley Memorial Highwa ?r.
y
Eagan, n4innesota 55122 Parrunto
Phone (612) 452•3077
Scale : 1 inch = 30 feet <q9'?
- N - s?B
o Denotes Wood Hub Set 7sr,,,, • s? p
? M R. qVE
Bearings Shocm are based on _-
Assur.,ed Dawm * ?9 R 1t?
x92334 Denotes Existing Spot
Elevations ?e°" da.?
o VO? • "? ?,
[x9zz.8] nenoCes Proposed Spnt Elevations '+43. , L T32 ?_•?'s.s
? A? n• wn.r.r r...,,.,t° ' 9?s
..*?Denotes ProposFd Drainagc
• f TepN.b P n' ? 8
Teo M.'^
1L1311 Gi0.0- Yq.o _?. RAI ' V19.0$
1?\ F/ Gp Mr1? ' I'.
?„
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9 ? I c, P / • 4? ? i 5 ??
?P
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Lor 3
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Arh ? tor N w 'mo
F'pN ? `t, e?a ?I ?
/ ,\ a• ?? f Rd. Wall_??'I,_. I,: O ?.J
L ?.l
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N89°34321"W f7S.85--
C? ".s$ -
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PRCPOSED GARAGE FLOOR ELEV. 922 , 3s662
PROPOSED FRON'Z ENTRY ELEV. 924.0 PROPERTY DESCRIPTION
PROPOSED BASEMENT FIAOR ELEV. 920.1 uralk-out Lot 3, Block 1, LAKE PARK SHORES,
accordinR to the recorded plat
thereof, Dakota County, Minnesota.
I hereby certify that this survey, plan or
report was prepared by me or under my direct
supervision, that I am a duly Registered Lxnd
Surveyor under the ]aws ot the StaCe of
Minnesota.
Wayne D. Cordes, Minn. Reg. No. 14675
Date: December 12, 1983
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PERMIT
City of Eagan Permit Type:Building
Permit Number:EA130813
Date Issued:05/15/2015
Permit Category:ePermit
Site Address: 4573 Lake Park Dr
Lot:3 Block: 1 Addition: Lake Park Shores
PID:10-44200-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael D Haugen
4573 Lake Park Dr
Eagan MN 55123
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA140270
Date Issued:12/06/2016
Permit Category:ePermit
Site Address: 4573 Lake Park Dr
Lot:3 Block: 1 Addition: Lake Park Shores
PID:10-44200-01-030
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:Two or More Windows/Doors
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 4,000.00
Fee Summary:BL - Base Fee $4K $103.25 0801.4085
Surcharge - Based on Valuation $4K $2.00 9001.2195
$105.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael D Haugen
4573 Lake Park Dr
Eagan MN 55123
(651) 440-2486
Window Concepts Mn
291 Eva St
St Paul MN 55107
(651) 905-0105
Applicant/Permitee: Signature Issued By: Signature
Use BLUE or BLACK Ink
For Office Use
4111 Permit#: frV21r (L.".
City of Ea an Permit Fee:
3830 Pilot Knob Road Date Received:
Eagan MN 55122
Phone: (651)675-5675 Staff:
Fax: (651)675-5694
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: (7-2-3-11 Site Address: 4573 Lake Park Drive Unit#:
Name: l -\ 1 c hael (A-NA- 6X( Hallien Phone: 691-cN o "' tc/86
kigitROtidOtrw., 4573 Lake Park Drive, Eagan, MN, 55122
vosmowrieragrAAddress/City/Zip:
Applicant is: Owner Contractor
Description of work: Reframing entry door opening
Type of Work $1000
Construction Cost: Multi-Family Building: (Yes /No
Company: Window Concepts of Minnesota Contact: Tim Andrew
Address:
291 Eva Street City: Saint Paul
o>i�tllctc�r`°
MN 55107
Phone: 651-604-8267 Email: tim.andrew@windowconceptsmn.com
State: Zip:
License#:
BC 163493 NAT-23718-2
Lead certificate#:
If the project is exempt from lead certification, please explain why:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer&Water Contractor: Phone:
Fire Suppression Contractor: Phone:
NOTE:PPlanscand suppo_rti
is t w itti et a s7# a ifs tra: aja$ �
r � �
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gooherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
xTim Andrew x / dr/ •
Applicant's Printed Name Applicant's Signature
Page 1 of 3
' - f � G- DO NOT RITE BELOW THIS LINE 17-7„ *".�
SUB TYPES
/Foundation Fireplace _ Porch (3-Season) _ Exterior Alteration(Single Family)
ii Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Multi)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Miscellaneous
01 of_Plex _ Lower Level _ Pool _ Accessory Building
WORK TYPES
New _ Interior Improvement _ Siding _ Demolish Building*
_ Addition _ Move Building _ Reroof _ Demolish Interior
✓Alteration — Fire Repair _ Windows _ Demolish Foundation
Replace _ Repair _ Egress Window Water Damage
Retaining Wall *Demolition of entire building—give PCA handout to applicant
DESCRIPTION
(AAA
Valuation i 000 --" Occupancy 1 TV/ ( MCES System 1•__ _Ar___
Plan Review Code Edition 0t5 SAC Units —�"—
(25%_100%6 Zoning Z ' 1 City Water
Census Code Stories 2 Booster Pump
#of Units Square Feet PRV
#of Buildings I Length Fire Suppression Required
Type of Construction V . 13 Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Final/C.O. Required
Footings (Addition) /Final/No C.O. Required
Foundation Foundation Before Backfill HVAC_Gas Service Test Gas Line Air Test
Roof: _Ice &Water _Final Pool: _Footings _Air/Gas Tests _Final
✓ Framing 30 Minutes 1 Hour Drain Tile
Fireplace: Rough In Air Test Final Siding: _Stucco Lath _Stone Lath _Brick_EFIS
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression: _Rough In_Final
Braced Walls Erosion Control
Shower Pan Other:
Reviewed
Reviewed By: `- ek1'6:' , Building Inspector
RESIDENTIAL FEES 5). Z s
Base Fee 8. 5-0
Surcharge 33.3 I
Plan Review
MCES SAC
City SAC
Utility Connection Charge
S&W Permit& Surcharge
Treatment Plant
Copies
TOTAL $S. D (o
Page 2 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA146339
Date Issued:10/20/2017
Permit Category:ePermit
Site Address: 4573 Lake Park Dr
Lot:3 Block: 1 Addition: Lake Park Shores
PID:10-44200-01-030
Use:
Description:
Sub Type:Fireplace
Work Type:Gas Insert
Description:
Census Code:434 - Residential Additions, Alterations
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home may require smoke detectors in all bedrooms. Chimney / flue must be inspected prior to
concealing.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Valuation: 3,000.00
Fee Summary:BL - Base Fee $3K $88.50 0801.4085
Surcharge - Based on Valuation $3K $1.50 9001.2195
$90.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Michael D Haugen
4573 Lake Park Dr
Eagan MN 55123
Fireside Hearth & Home
2700 Fairview Ave N
Roseville MN 55113
(952) 985-6675
Applicant/Permitee: Signature Issued By: Signature